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This affected 6 of 20 smoke compartments on 1 of 3 floors in the hospital and 1 of 1 smoke compartment in the outpatient building. This could result in the spread of smoke and fire, in the event of a fire. Where escutcheon rings were displaced or missing, penetrations were exposed around the sprinklers.
An escutcheon ring is a shield that covers the penetration around the sprinkler pipe. At a. At p. There was an approximately 3 inch penetration on the ceiling around the sprinkler pipe.
There was an approximately 3 x 6 inch cut out around a bundle of wires in the wall, below a desk, in the lab blood bank area. There was an approximately? Based on observation, the facility failed to maintain the corridor walls to resist the passage of smoke. This was evidenced by penetrations in the ceilings in various areas of the facility. This affected 1 of 20 smoke compartments in the hospital and 1 of 1 smoke compartments in the outpatient service building.
This could result in the spread of smoke from one smoke compartment to another. Findings: During a tour of the facility with staff, the corridor walls and ceiling were observed.
Based on observation, the facility failed to maintain their doors. This was evidenced by doors that were impeded from closing and by doors that failed to latch. This affected 5 of 20 smoke compartments on 2 of 3 floors in 2 of 2 buildings. This could result in the spread of smoke or flame, in the event of a fire. The strike plate had been taped over and the latch would not engage. The table prevented the door from closing. The door was equipped with a self closure.